Individual
MRS. KATHRYN RENEE MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 BUTLER AVE BLDG 413B, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
6801 MIDDLE RD, MIDDLETOWN, VA 22645-2114
(540) 931-6707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003519
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740586429
—
VA
Enumeration date
01/28/2011
Last updated
12/29/2023
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